International Medical Journal

Journal ID : IMJ-15-10-2021-999

Total View : 332

Title : A CLINICO ETIOLOGICAL STUDY OF FISTULA IN ANO WITH RADIOLOGICAL CORRELATION

Abstract : The Study was conducted in Dr. D. Y Patil Medical College of Dr.D.Y.Patil Vidyapeeth, Pune and was for a period of 3 years. Fistula in ano is a track lined by granulation tissue that connects the anal canal or rectum with skin. Fistula in ano is a common problem faced causing great amount of discomfort in patients. The aim was to study the etiology, clinical presentation, clinico- radiological correlation, and postoperative complications. The study group consisted of patients who were clinically diagnosed with 1o fistula-in-ano within 15- 75 years of age, and were clinically evaluated and investigated radiologically and followed up post operatively once in 3 weeks for the first 6 months, once every 6 months for a total period of 3 years. In our study fistula in ano was common in 30-39yr age group, and presented commonly with perianal discomfort with discharge and radiological investigation correlated with the intraop finding. The two most common complications were anal incontinence (to flatus and liquid stools) and recurrence. The fundamental principles of careful clinical evaluation, control of infection, identification of 1o and 2o fistulous tracts with excision for all lower type of fistula and adequate drainage of the wound can improve the healing rates with minimal morbidity and recurrence. MRI is useful for identifying the fistula type and its 2o tracts..
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International Medical Journal

Journal ID : IMJ-13-10-2021-998

Total View : 428

Title : Socket Preservation Using Dense PTFE Barrier after Tooth Extraction in Dog Model

Abstract : This study was designed to investigate the histological and hsitomorphometric changes in the sockets of third premolar teeth of dogs after being packed with dense PTFE, after one and two months from dental extraction. Four adult local breed male dogs were hunted from the street and selected for the study. The lower third premolar teeth of each dog were extracted surgically. The left third premolar socket of each dog was left as control while the right third premolar socket was packed with dense PTFE membrane. Two dogs were sacrificed after one month, and the other two dogs were sacrificed after two months from the surgical operation. The site of surgical extraction was sectioned and studied for histological and histomorphometric outcomes. The buccal and lingual alveolar width were non-significantly differed between d-PTFE treated sockets and control after one and two months. The percentage of bone was also comparable between the two groups. The use of d-PTFE membrane had no influence on bone healing..
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International Medical Journal

Journal ID : IMJ-10-10-2021-996

Total View : 446

Title : Efficacy of vertical figure of 8 suturing of the nail plate to nail bed as a dorsal splint for healing of fingertip avulsion injury.

Abstract : Nail bed avulsion injuries associated with distal phalanx fracture is a very common injury occurring in industrial workers dealing with heavy machines. Often patients come with open wound which needs through wash and reduction of fracture with k wire along with suturing of the nail bed. The study was conducted on 20 patients with nail bed avulsion injury with or without distal phalanx fracture. Patients were treated by vertical figure of 8 suturing of nail plate with the nail bed and reduction/fixation of the distal phalanx with a retrograde k-wire. Patients were followed up periodically at weekly interval up to 3months. This technique maintains good contact between the nail plate and matrix, preventing the nail plate from any further movement. The vertical fig of 8 suturing method utilizes the nail plate and the nail bed to take suture and secure the nail. The vertical fig of 8 suturing method protects the nail from any unwanted movement, thereby preventing any further trauma to the nail bed and helps in splinting of the associated fracture of the distal phalanx. It's straightforward, reliable, and effortlessly tutored to surgeons of any speciality. This technique can even be done when the eponychium is not intact. It's a helpful technique for anyone dealing with nail bed avulsion injury with or without distal phalanx injuries..
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International Medical Journal

Journal ID : IMJ-10-10-2021-995

Total View : 339

Title : A Study On Antibiotic Sensitivity Of Organisms Found On Newborn Skin

Abstract : Neonatal sepsis is one of the most common infections occurring in the neonatal intensive care unit, often a challenging emergency situation, which if not managed promptly can result in neonatal death. The aim of the study is to determine, causative organisms found on newborn skin by collecting skin swabs once a week so as to understand the changing pattern of microbial flora and their resistance to commonly used antibiotics, especially when the baby shows a high WBC count or a deteriorating chest x-ray. A prospective study was conducted in the Neonatal intensive care unit of a Medical college Hospital and research center, after the approval of the Institutional Ethics Committee (IEC), the study was conducted on 100 newborns. Skin and groin swab samples were collected from the newborns with basic aseptic precautions, after informing them and obtaining consent of the mother or guardian. Around two swab samples were taken from the groin and armpit, one on day-1 and the other on day-4 and sent for culture sensitivity. The reports of the samples were collected and compared to observe the changing trend of the bacteria and the resistance shown to commonly used drugs. Coagulase negative staphylococcus and E.coli were the most common causative organisms in our area, based on the analysis of both days taken, apart from that Methicillin Resistant Staphyloccocus and Klebsiella were the second common bacteria prevalent in the area..
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International Medical Journal

Journal ID : IMJ-10-10-2021-994

Total View : 438

Title : A COMPARISON OF OUTCOMES OF STOPPAS REPAIR VERSUS CONVENTIONAL LICHTENSTEIN’S REPAIR IN BILATERAL INGUINAL HERNIAS – WHICH IS SUPERIOR ??

Abstract : Inguinal hernias occur in about 1–5% of the general population and its repair is the commonest operation in general surgical practice. Multiple methods have been described to reinforce the posterior wall of inguinal canal as well as to prevent recurrence of which Lichtenstein’s tension free repair and Stoppa’s procedure are commonly employed procedures. centre located in Pimpri, Pune between May 2020 to June 2021. From our study we conclude that Stoppas repair for bilateral inguinal hernia is a very efficient procedure. Stoppas repair could be done in bilateral inguinal hernias and by keeping mesh over fruchauds myopectineal orifice we could be preventing recurrence and also avoiding femoral hernia in the future. Stoppas repair can be done easily in recurrent hernias as we will be proceeding in different anatomical plane. However both techniques have their own advantages and careful selection of technique is essential with due consideration given to the nature of the individual case..
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International Medical Journal

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Submission Deadline ( Vol 30 , Issue 04 )
20 Apr 2023

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Publish On ( Vol 30 , Issue 03 )
31 Mar 2023